Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Wildhaven Therapy, a Licensed Clinical Social Worker Corp Inc

Organization Clinical Social Worker · NPI 1427962414

Wildhaven Therapy, a Licensed Clinical Social Worker Corp Inc provides Clinical Social Worker services in Oakland, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

445 Bellevue Ave Ste 201B
Oakland, CA 94610-4923
Phone: (510) 824-8218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1427962414
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Fleisch — Ceo · (510) 829-3663
Other names Wildhaven Therapy
NPI enumeratedSeptember 29, 2026
Last updated in NPPESSeptember 30, 2026
Certification dateSeptember 30, 2026
Mailing address445 Bellevue Ave Ste 201b, Oakland, CA 94610-4923

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